MEDICAL GENETICS OF NEVADA LLC NPI 1366068041

NPI Information

NPI: 1366068041
Provider Name: MEDICAL GENETICS OF NEVADA LLC
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

Address:
2538 ANTHEM VILLAGE DR STE 110
HENDERSON, NV
ZIP 89052
Phone: (702) 732-6800
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MEDICAL GENETICS OF NEVADA LLC is a clinical genetics (m.d.) medical genetics in Henderson, NV. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. MEDICAL GENETICS OF NEVADA LLC NPI is 1366068041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2538 ANTHEM VILLAGE DR STE 110
HENDERSON, NV
ZIP 89052-551
Phone: (702) 732-6800
Fax: (702) 932-9611

The provider's authorized official is Susanna Sorrentino .
The authorized official title is Physician and has the following contact phone number (702) 732-6800.

The enumeration date for this NPI number is 6/18/2020 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1770741555	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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